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EASTER SEALS BLAKE FOUNDATION
NPI 1932530797
Community/Behavioral Health in Tucson, AZ

Active since December 04, 2013CLIA 03D2244586 · Waiver
7756 E BROADWAY BLVD STE C100, TUCSON, AZ 85710(520) 327-1529(520) 514-9878 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2023, Aug 3, 2021, Nov 3, 2016 (3 updates tracked since 2016).

About Easter Seals Blake Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTER SEALS BLAKE FOUNDATION (NPI 1932530797), doing business as Blake Foundation, is a healthcare organization registered as a community/behavioral health in Tucson, Arizona and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Marissa S Arendt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1932530797
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTER SEALS BLAKE FOUNDATION
Location Address7756 E BROADWAY BLVD STE C100Tucson, AZ 85710-4022
Mailing Address7756 E Broadway Blvd Ste A100Tucson, AZ 85710-4022 · (520) 449-8555 · Fax (520) 204-6808
Phone(520) 327-1529
Fax(520) 514-9878
Organization SubpartNo
Authorized OfficialMarissa S ArendtCfo · (520) 327-1529
Enumeration DateDecember 4, 2013
Last NPPES UpdateFebruary 22, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1932530797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
7756 E BROADWAY BLVD STE C100, Tucson, AZ 85710
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Other Names 1

Former Legal Business NameBlake Foundation

Other Identifiers 3

OtherOTC-6111AZ · Az Dept Of Health Services License
Other885160AZ · Ahcccs Provider
Medicaid885160AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2244586

Easterseals Blake Foundation · Tucson, AZ
Active · expires Dec 1, 2027
CLIA Number03D2244586
Laboratory TypeOtc
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorSally A. Boeve
Laboratory Phone(520) 449-8555
Laboratory LocationEasterseals Blake Foundation7750 E Broadway Blvd Ste A100, Tucson, AZ 85710
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Easter Seals Blake Foundation's NPI number?

The NPI number for Easter Seals Blake Foundation is 1932530797. It was assigned to this organization in the NPPES registry on December 4, 2013. The provider was formerly known as Blake Foundation.

Where is Easter Seals Blake Foundation located?

Easter Seals Blake Foundation is located at 7756 E Broadway Blvd Ste C100, Tucson, AZ 85710. The listed phone number is (520) 327-1529.

What is Easter Seals Blake Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Easter Seals Blake Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2244586) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Easter Seals Blake Foundation accept?

Health plans from Ambetter from Arizona Complete Health list Easter Seals Blake Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Easter Seals Blake Foundation was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.